![]() |
qq - raheem - Printable Version +- USMLE Forum - Largest USMLE Community (https://www.usmleforum.com) +-- Forum: USMLE Forum (https://www.usmleforum.com/forumdisplay.php?fid=1) +--- Forum: Step 2 CK (https://www.usmleforum.com/forumdisplay.php?fid=3) +--- Thread: qq - raheem (/showthread.php?tid=633004) |
qq - raheem - ArchivalUser - 11-20-2011 . A 54-year-old man with chronic obstructive pulmonary disease undergoes a total hip arthroplasty for avascular necrosis of the femoral head. On the second postoperative day, he has diffuse, profound weakness and vomiting. His blood pressure is 85/50 mm Hg, and pulse is 100/min. The operative site is clean and dry, with minimal output from the drains. Hemoglobin level is 13.8 g/dL, serum sodium level is 132 mEq/L, and serum potassium level is 5.8 mEq/L. Which of the following is most likely to confirm the diagnosis? A ) Measurement of serum thyroid-stimulating hormone level B ) Direct antiglobulin (Coombs') test C ) ACTH stimulation test D ) Ventilation-perfusion lung scans E ) Echocardiography 0 - ArchivalUser - 11-20-2011 ccc 0 - ArchivalUser - 11-21-2011 The correct answer is C. In moment of stress you need more stress hormone (cortisol)...If you have a subacute pathology, stressful events can reveal it. 0 - ArchivalUser - 11-21-2011 c: was thinking more of an adrenal insufficieny as a result of the surgery 0 - ArchivalUser - 11-21-2011 C, 0 - ArchivalUser - 11-21-2011 Sure c is d answer. |